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SARS-CoV-2 cross-sectional seroprevalence study among public school staff in Metro Vancouver after the first Omicron wave in British Columbia, Canada.


ABSTRACT:

Objective

To determine the SARS-CoV-2 seroprevalence among school workers within the Greater Vancouver area, British Columbia, Canada, after the first Omicron wave.

Design

Cross-sectional study by online questionnaire, with blood serology testing.

Setting

Three main school districts (Vancouver, Richmond and Delta) in the Vancouver metropolitan area.

Participants

Active school staff enrolled from January to April 2022, with serology testing between 27 January and 8 April 2022. Seroprevalence estimates were compared with data obtained from Canadian blood donors weighted over the same sampling period, age, sex and postal code distribution.

Primary and secondary outcomes

SARS-CoV-2 nucleocapsid antibody testing results adjusted for test sensitivity and specificity, and regional variation across school districts using Bayesian models.

Results

Of 1850 school staff enrolled, 65.8% (1214/1845) reported close contact with a COVID-19 case outside the household. Of those close contacts, 51.5% (625/1214) were a student and 54.9% (666/1214) were a coworker. Cumulative incidence of COVID-19 positive testing by self-reported nucleic acid or rapid antigen testing since the beginning of the pandemic was 15.8% (291/1845). In a representative sample of 1620 school staff who completed serology testing (87.6%), the adjusted seroprevalence was 26.5% (95% CrI 23.9% to 29.3%), compared with 32.4% (95% CrI 30.6% to 34.5%) among 7164 blood donors.

Conclusion

Despite frequent COVID-19 exposures reported, SARS-CoV-2 seroprevalence among school staff in this setting remained no greater than the community reference group. Results are consistent with the premise that many infections were acquired outside the school setting, even with Omicron.

SUBMITTER: Watts AW 

PROVIDER: S-EPMC10276956 | biostudies-literature | 2023 Jun

REPOSITORIES: biostudies-literature

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Publications

SARS-CoV-2 cross-sectional seroprevalence study among public school staff in Metro Vancouver after the first Omicron wave in British Columbia, Canada.

Watts Allison W AW   Mâsse Louise C LC   Goldfarb David M DM   Irvine Mike A MA   Hutchison Sarah M SM   Muttucomaroe Lauren L   Poon Bethany B   Barakauskas Vilte E VE   O'Reilly Collette C   Bosman Else E   Reicherz Frederic F   Coombs Daniel D   Pitblado Mark M   O'Brien Sheila F SF   Lavoie Pascal M PM  

BMJ open 20230612 6


<h4>Objective</h4>To determine the SARS-CoV-2 seroprevalence among school workers within the Greater Vancouver area, British Columbia, Canada, after the first Omicron wave.<h4>Design</h4>Cross-sectional study by online questionnaire, with blood serology testing.<h4>Setting</h4>Three main school districts (Vancouver, Richmond and Delta) in the Vancouver metropolitan area.<h4>Participants</h4>Active school staff enrolled from January to April 2022, with serology testing between 27 January and 8 Ap  ...[more]

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